| NPI | 1114299484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 2071) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 6337) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2023-04-05 |